Systemic Chemotherapy and Surgical Cytoreduction for Poorly Differentiated and Signet Ring Cell Adenocarcinomas of the Appendix

Ann Oncol. 2011 Jun 8;[Epub Ahead of Print], CH Lieu, LA Lambert, RA Wolff, C Eng, N Zhang, S Wen, S Rafeeq, M Taggart, K Fournier, R Royal, P Mansfield, MJ Overman

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Abstract

SUMMARY

OncologySTAT Editorial Team

Appendiceal adenocarcinomas are a rare and histologically diverse group of cancers; patient prognosis varies significantly by tumor biology. Most of these tumors are slow growing and do not develop extraperitoneal metastases, and the standard treatment is complete cytoreductive surgery (CRS), followed by hyperthermic intraperitoneal chemotherapy. Tumors with poorly differentiated or signet ring cell histology, however, tend to be more aggressive, with studies suggesting worse outcomes for patients...

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